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General NPI Number Information
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NPI Number | 1811232358
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Entity Type | Organization
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Legal Business Name | ARIA NEURODIAGNOSTIC, INC
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 13746 VICTORY BLVD SUITE 107
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City | VAN NUYS
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State | CA
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Zip | 91401-6716
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Country | US
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Telephone | 818-203-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 13746 VICTORY BLVD SUITE 107
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City | VAN NUYS
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State | CA
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Zip | 91401-6716
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Country | US
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Telephone | 818-203-8833
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EDWARD BARTON
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Credential | MD
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Telephone | 818-203-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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License Number | A101958
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License Number State | CA
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